Mariposa — Public Complaint Form

Source: https://www.mariposa.courts.ca.gov/system/files/public-complaint-form.pdf

Superior Court of California, County of Mariposa Public Complaint Form

Completed form may be mailed or delivered to the following address:

Superior Court of California, County of Mariposa

ATTN: Court Executive Officer 5092 Jones Street P.O. Box 316 Mariposa, CA 95338

Today’s Date: ________________________ Date of Occurrence: ________________________

Your Name: __________________________________________________________________

Your Address: ________________________________________________________________

City: _____________________________ State: _____________ Zip: ___________________

A daytime telephone number where you may be reached ( _______) ______________________

Is there a Court Employee or Division to which your Complaint may be addressed?

---

Please describe your complaint in detail. If more room is needed, you may continue your complaint on the reverse side of this form:

---

---

---

---

---

---

---

---

---

---

---

Public Complaint Form (continued)

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---